Hebrew Free Loan Association of Greater Washington

Name of Borrower

*

First Name

Last Name

Your Name

*

First Name

Last Name

Last 4 digits of your Social Security Number

*

Date of Birth

*

(mm/dd/yyyy)

Are you Jewish?

*

Are you a US Citizen or Permanent Resident?

*

What is your relationship to the borrower?

*

What is the size of the loan?

*

Please fill in this field for the amount of money the borrower wishes to request and for which you are comfortable serving as guarantor.

$5,000 and below

$5,001 to $10,000

$10,001 to $25,000

I am not sure

Are you married?

*

Please note: you and your spouse cannot BOTH serve as a guarantor for a loan. In addition, you cannot guarantor a loan TO your spouse.

Yes

No

Spouse Name

First Name

Last Name

Number of Dependent Children

*

Ages of Dependent Children

Contact Information

Email

*

Verify Email

*

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

How long have you lived at this address?

*

Do you own or rent this property?

*

Own

Rent

Other

Cell Phone

*

Work Phone

Home Phone

Assets/Revenue and Liabilities/Expenses

Occupation

*

Employer

*

Spouse occupation

Spouse Employer

Salary per Month

*

Spouse salary per Month

Additional Monthly Income

Pay Stubs

*

Please upload your two most recent pay stubs. If you self employed and do not have a pay stub, please provide Schedule C of your most recently filed tax return or other proof of income.

Additional Pay Stubs

If your pay stubs are in two separate files, please upload the second one here. If you want to include additional documents, please email them to shuli@hebrewfreeloandc.org.

Monthly Expenses

*

Please provide your total monthly expenditure including rent/mortgage, tuition, car loans, household expenses, debt payments, etc.

Net Worth

*

Please provide an approximate value of your net worth for you and your spouse (if applicable). This is a calculation of your assets minus liabilities (ex: house value minus remaining mortgage, etc)

Under $50,000

$50,000-$100,000

$100,000-$250,000

$250,000-$500,000

$500,000-$1,000,000

Over $1,000,000

Additional Information

Have you (or your spouse) previously received a loan from HFL?

*

Yes

No

Are you (or your spouse) a guarantor of another HFL loan?

*

Yes

No

Notice to Guarantors

Thank you for your interest in becoming an HFL loan guarantor. Please read the following statement and provide your electronic signature to signify that you agree. Please ask for an explanation if there is anything you don't understand.

You are being asked to guarantee the Borrower debt. Think carefully before you do so. If the Borrower doesn't pay the debt, you will have to. Be sure you can afford to pay if you have to and that you want to accept this responsibility.
If the Borrower fails to repay the loan, as agreed, the guarantors are liable jointly and severally. Guarantors may choose to share equally in the responsibility for repaying the loan. However, each guarantor is individually liable for the full amount and you could be called on to repay the total balance due (which might be the full amount of the original loan) with assistance from the other Guarantor (if applicable). You may also be required to pay collection costs (attorney fees, court costs, etc.) which would increase the amount due.
The Hebrew Free Loan Association of Greater Washington can use the same collection methods against you that can be used against the Borrower, including but not limited to bringing a lawsuit against you in order to seek repayment of all monies due and owing, to get a judgment again you for the balance due and oweing and engage in any post judgment proceedings to enforce any judgment entered against you, including the garnishment of wages where applicable.
If this debt is ever in default, the fact may become part of your credit record.
This application is not the contract that makes you liable for the debt.

I have read the Notice to Guarantors and understand the responsibilities

*

Yes

No

I certify that all the information submitted is true to the best of my knowledge. This constitutes my legal signature:

*